Provider Demographics
NPI:1386670289
Name:PRESTON, ANDREA LEIGH (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LEIGH
Last Name:PRESTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 OAKLAND RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4807
Mailing Address - Country:US
Mailing Address - Phone:828-252-2511
Mailing Address - Fax:828-252-2555
Practice Address - Street 1:43 OAKLAND RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4807
Practice Address - Country:US
Practice Address - Phone:828-252-2511
Practice Address - Fax:828-252-2555
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2008-01529OtherLICENSE